Doctor Name: | DR. GARY R MRUZ |
NPI Number: | 1649218413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | MC03565 |
Business Practice Address: | 1217 Route 9 Suite 101 Ocean View, NJ - 082301379 |
Business Phone Number: | 6093908772 |
Business Fax Number: | 6093908699 |
Mailing Address: | 1217 Route 9, Suite 101 OCEAN VIEW |
State: | NJ |
Postal Code: | 082301379 |
Phone Number: | 6093908772 |
Fax Number: | 6093908699 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | MC03565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |